Kawashima H, Sakamoto W, Nishijima T
Department of Urology, Toyonaka Municipal Hospital.
Hinyokika Kiyo. 1988 Jul;34(7):1207-10.
A 50-year-old male was admitted to our municipal hospital because of his right suprarenal tumor which had been found by ultrasonography by chance at National Toneyama Hospital. His physical examination was normal except for obesity. Hematological examination and blood chemistry were normal and no endocrine disorder was found. Excretory urogram revealed neither deformity of the collecting system nor displacement of the right kidney. Computed tomography visualized sharp marginated in homogeneous structured mass of different densities within the negative range. Angiography revealed hypovascularity of the tumor. Right adrenalectomy was performed and the specimen weighed 72 g. Histopathologically is consisted of adult fat tissue and hematopoietic tissue. In addition to our case, 17 cases of surgically removed myelolipoma reported in the Japanese literature are reviewed.
一名50岁男性因右侧肾上腺肿瘤入住我市立医院。该肿瘤是他在国立富山医院偶然通过超声检查发现的。除肥胖外，他的体格检查正常。血液学检查和血液生化指标正常，未发现内分泌紊乱。排泄性尿路造影显示集合系统无畸形，右肾无移位。计算机断层扫描显示在阴性范围内有边界清晰、密度不同的不均匀结构肿块。血管造影显示肿瘤血管减少。进行了右侧肾上腺切除术，标本重72克。组织病理学检查发现其由成人脂肪组织和造血组织组成。除了我们的病例外，还对日本文献中报道的17例手术切除的肾上腺髓质脂肪瘤病例进行了回顾。
